SCHEDULE A TRIAL

Thank you for your interest in DCSA!

Trial sign-up is per student. Each trial is $15 + a convenience fee.

STUDENT INFORMATION *

First

Last

Student Phone

Leave blank if student does not have a phone.

Student phone can receive text messages? *

Student Email

Leave blank if student does not have an email.

Age *

Gender *

PARENT/GUARDIAN INFORMATION {Fill in if student is a minor}

First

Last

Parent/Guardian Phone

Parent/guardian phone can receive text messages?

Parent/Guardian Email

What type of trial(s) you are interested in? *

Select one or both.

4-6 Year Olds

7-9 Year Olds

10-12 Year Olds

13-17 Year Olds

18+ Year Olds

Private Lessons: 5-7 Year Olds

Private Lessons: 8-9 Year Olds

Private Lessons: 10+ Years

Layout

Schedule trial: *

Total

$ 0.00

Special Note

*Please indicate that your payment is for “DCSA Trial Class” in the Paypal memo or note field.